Release of Liability This document affects your legal rights.

You must read and understand it by initialing or signing it. DUTY OF PARTICIPANTS: It is recognized that some activities conducted by ________________________________________ are hazardous to participants regardless of all feasible safety measures, which we can take. All participants have a duty to act as a reasonably prudent person when engaging in the recreational activities, which are offered by _________________________. I hereby covenant and agree not to: a) act in any way which shall interfere with the running or operation of _________________when such activities conform to the rules and regulations of the State of ___________. use any of _____________________________equipment or facilities or services if I do not have the ability to use such facilities, equipment, or services safely without instructions until I have requested and received sufficient instruction to permit safe usage. Engage in any harmful conduct or willfully, or negligently engage in any type of conduct which contributes to as causes injury to any person. To embark in any self initiated activity without first informing _____________of my intentions and receiving permission from __________ to engage in such self-initiated activity.

b)

c) d)

ACKNOWLEDGMENT AND ACCEPTANCE OF RISK: I understand and acknowledge that the activity which I am about to voluntarily engage in as a participant and/or volunteer bears certain known risks and unanticipated risks which could result in injury, death, illness or disease, physical or mental, or damage to myself, to my property, or to spectators or other third-parties. I, being aware that this activity to accept and assume all responsibility and risk for injury, death, illness, or disease, or damage to myself or to my property arising from otherwise damaged due to any negligent notions. My participation in this activity is purely voluntary; no one is forcing me to participate, and I elect to participate in spite of the known and unknown risks.

RELEASE: In consideration of the services and/or property provided, I, for myself and any minor children for which I am the parent, legal guardian, or other wise responsible, any heirs, personal representatives, or assigns, do hereby release _____________________________, its principals, directors, officers, agents, employees, and volunteers from any liability and waive any claim for damages arising from any cause whatsoever (except that which is gross negligence). I further agree to reimburse you for all attorneys fees and costs should I bring legal action against you and lose. ENTIRE AGREEMENT: I understand that this is the entire Agreement between myself and ____________________________, it agents or employees, and that it cannot be modified or changed in any way by the representatives or statements of any employees of ___________________________________or by me. My signature below indicates that I have read this entire document and understand it completely and agree to be bound by its terms. DATE:__________________________

SIGNATURE OF PARTICIPANT

SIGNATURE OF PARENT/GUARDIAN (IF PARTICIPANT IS UNDER 18)